Dry Eye

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Dry Eye

The eye can be thought of as similar to a camera, with two main parts, a lens and a film. The front surface of the eye is called the cornea, and may be thought of like the lens on a camera. There is a second lens within the eye called the crystalline lens, which may become cloudier as we age. The film layer lines the back wall of the eye and is called the retina.

The eye contains several different types of glands which function together to create healthy tears. Inflammation or blockage of these glands may cause our tears to become unhealthy. Unhealthy tears may be produced in inadequate quantities or may evaporate too quickly.

Learn About the Common Causes of Dry Eye​

Blepharitis – Bacteria living where the eye lashes meet the eyelids may build up, and lead to the accumulation of inflammatory material within the lashes.

Meibomian Gland Dysfunction – The meibomian glands are located where the eye lashes meet the eyelids and produce a liquid oil. These glands may become blocked over time. Blockage of these glands causes tears to evaporate too quickly.

Medications – Diuretics used for the treatment of heart failure and high blood pressure may contribute to dry eye. Antihistamines used for allergies may also contribute to dry eye.

Inadequate production of tears –  This condition is very uncommon. It is associated with inflammatory conditions (for which patients usually have other symptoms) such as Lupus, Sjogrens disease, and rheumatoid arthritis.

Dry Eye Treatments​
Lid washes are very effective at removing lid debris from the eye lashes. Removing this debris decreases inflammation and leads to healthier tears.

This may be performed by using baby shampoo to create a lather, closing the eyes, and gently washing where the eye lashes meet the eye lids for 10-15 seconds. The baby shampoo is then washed away. Most patients will perform this on a daily basis.

The meibomiand glands may become clogged with oil that has transformed from a liquid into a solid. Warm compresses help melt the oil and allow it to enter the tear film.

This may be performed by placing a washrag in warm water, closing the eyes, and setting the washrag over the closed eye lids for 3-4 minutes. This is typically repeated nightly. This may alternatively be performed with an eye mask.

Artificial tears help to lubricate the surface of the eye. Lubrication of the surface of the eye improves vision and increases comfort. There are three main types of artificial tears: artificial tears with preservatives, preservative free artificial tears, viscous gels, tears for meibomian gland dysfunction, and lubricating eye ointment.

Artificial tears with preservatives are the larger bottles that you see at stores. They may be used up to 4 times daily as needed for discomfort for most patients. It is uncommon, but some patients may experience irritation from the preservative within the tears. They last for approximately 15 minutes.

Artificial tears without preservatives are sold in a pack with several small vials. They may be used up to every one hour as needed for discomfort. They last for approximately 15 minutes.

Viscous gels are made for people with more severe forms of dry eye. These gels have a consistency similar to syrup, and may cause some blurry vision for 15 minutes or so. The benefit of using them is that the lubricating effect may last upwards of an hour or more.

Artificial tears for meibomiand gland dysfunction – These artificial tears are made especially for people who are not producing the normal oil created by the meibomiand glands. This drops may help the tears last longer, lubricate the eyes more, and improve comfort. Please see the link below for recommended options.

Lubricating eye ointment – This is a thick savv which is placed between the eyelids and eye. It is typically used before sleep for patients who have severe dry eye, or who experience air from their CPAP blowing into their eyes at night. Ointment is very effective at lubricating the eyes, but will cause significant blurry vision, which may last hours. Many patients will also notice that it accumulates on the lashes and needs to be washed off in the morning.

The consumption of foods or supplements which are high in omega-3 increase the quality of the oil produced by the meibomian glands, and improves dry eye. Foods that are rich in Omega-3 include fish, flaxseeds, and walnuts.

There are high quality supplements, such as Pristine, which contain the ideal mixture of supplements required to optimize the tear film.

We recommend a diet high in omega 3s.

Ojos seco

Se puede pensar que el ojo es similar a una cámara, con dos partes principales, una lente y una película. La superficie frontal del ojo se llama córnea y puede considerarse como el lente de una cámara. Hay una segunda lente dentro del ojo llamada lente cristalina, que puede volverse más nublada a medida que envejecemos. La capa de película recubre la pared posterior del ojo y se llama retina.

El ojo contiene varios tipos diferentes de glándulas que funcionan juntas para crear lágrimas saludables. La inflamación o el bloqueo de estas glándulas pueden hacer que nuestras lágrimas se vuelvan insalubres. Las lágrimas no saludables pueden producirse en cantidades inadecuadas o pueden evaporarse demasiado rápido.

Conozca las causas comunes del ojo seco

Blefaritis: las bacterias que viven donde las pestañas se encuentran con los párpados pueden acumularse y provocar la acumulación de material inflamatorio dentro de las pestañas.

Disfunción de las glándulas de Meibomio: las glándulas de Meibomio se encuentran donde las pestañas se encuentran con los párpados y producen un aceite líquido. Estas glándulas pueden bloquearse con el tiempo. El bloqueo de estas glándulas hace que las lágrimas se evaporen demasiado rápido.

Medicamentos: los diuréticos utilizados para el tratamiento de la insuficiencia cardíaca y la presión arterial alta pueden contribuir al ojo seco. Los antihistamínicos utilizados para las alergias también pueden contribuir al ojo seco.

Producción inadecuada de lágrimas: esta afección es muy poco común. Se asocia con afecciones inflamatorias (para las que los pacientes suelen presentar otros síntomas) como el lupus, la enfermedad de Sjogrens y la artritis reumatoide.

Tratamientos para ojos secos
Los lavados de párpados son muy eficaces para eliminar los restos de párpados de las pestañas. La eliminación de estos desechos disminuye la inflamación y conduce a lágrimas más saludables.

Esto se puede realizar usando champú para bebés para crear espuma, cerrando los ojos y lavando suavemente donde las pestañas se encuentran con los párpados durante 10 a 15 segundos. A continuación, se lava el champú para bebés. La mayoría de los pacientes lo realizarán a diario.

Las glándulas meibomiand pueden obstruirse con aceite que se ha transformado de líquido a sólido. Las compresas tibias ayudan a derretir el aceite y permiten que penetre en la película lagrimal.

Esto se puede realizar colocando un paño en agua tibia, cerrando los ojos y colocando el paño sobre los párpados cerrados durante 3-4 minutos. Por lo general, esto se repite todas las noches. Alternativamente, esto se puede realizar con una máscara para los ojos.

Las lágrimas artificiales ayudan a lubricar la superficie del ojo. La lubricación de la superficie del ojo mejora la visión y aumenta la comodidad. Hay tres tipos principales de lágrimas artificiales: lágrimas artificiales con conservantes, lágrimas artificiales sin conservantes, geles viscosos, lágrimas para la disfunción de la glándula de Meibomio y pomada ocular lubricante.

Las lágrimas artificiales con conservantes son las botellas más grandes que se ven en las tiendas. Se pueden usar hasta 4 veces al día según sea necesario para el malestar de la mayoría de los pacientes. Es poco común, pero algunos pacientes pueden experimentar irritación por el conservante dentro de las lágrimas. Duran aproximadamente 15 minutos.

Las lágrimas artificiales sin conservantes se venden en un paquete con varios viales pequeños. Se pueden usar hasta cada una hora según sea necesario para aliviar las molestias. Duran aproximadamente 15 minutos.

Los geles viscosos están hechos para personas con formas más graves de ojo seco. Estos geles tienen una consistencia similar a la del jarabe y pueden causar visión borrosa durante unos 15 minutos. El beneficio de usarlos es que el efecto lubricante puede durar más de una hora o más.

Lágrimas artificiales para la disfunción de las glándulas meibomiand: estas lágrimas artificiales están hechas especialmente para personas que no producen el aceite normal creado por las glándulas meibomiand. Estas gotas pueden ayudar a que las lágrimas duren más, lubricar más los ojos y mejorar la comodidad. Consulte el enlace a continuación para conocer las opciones recomendadas.

Ungüento lubricante para los ojos: es una crema espesa que se coloca entre los párpados y el ojo. Por lo general, se usa antes de dormir para pacientes que tienen ojo seco severo o que experimentan aire de su CPAP soplando en sus ojos por la noche. El ungüento es muy eficaz para lubricar los ojos, pero provocará una visión borrosa significativa, que puede durar horas. Muchos pacientes también notarán que se acumula en las pestañas y debe lavarse por la mañana.

El consumo de alimentos o suplementos ricos en omega-3 aumenta la calidad del aceite producido por las glándulas de Meibomio y mejora el ojo seco. Los alimentos ricos en Omega-3 incluyen pescado, semillas de lino y nueces.

Existen suplementos de alta calidad, como Pristine, que contienen la mezcla ideal de suplementos necesarios para optimizar la película lagrimal.

Recomendamos una dieta rica en omega 3.

This information was created by Dr. Evan Dunn and Dr. Sanket Shah, both practicing retina specialists. This information does not constitute a consent for treatment nor establish a patient-doctor relationship between the patient, Eye Know More, Dr. Evan Dunn, or Dr. Sanket Shah.

Eye Lid Scrubs

Lid washes are very effective at removing lid debris from the eye lashes. Removing this debris decreases inflammation and leads to healthier tears.

This may be performed by using baby shampoo to create a lather, closing the eyes, and gently washing where the eye lashes meet the eye lids for 10-15 seconds. The baby shampoo is then washed away. Most patients will perform this on a daily basis.

There are commercially available lid scrubs which are also very effective at removing lid debris. We recommend OCuSOFT Lid Scrubs.

Warm Compresses

Artificial Tears

Artificial tears help to lubricate the surface of the eye. Lubrication of the surface of the eye improves vision and increases comfort. There are three main types of artificial tears: artificial tears with preservatives, preservative free artificial tears, viscous gels, tears for meibomian gland dysfunction, and lubricating eye ointment.

Artificial tears with preservatives are the larger bottles that you see at stores. They may be used up to 4 times daily as needed for discomfort for most patients. It is uncommon, but some patients may experience irritation from the preservative within the tears. They last for approximately 15 minutes.

We recommend Systane Ultra Lubricant Eye Drops.

Artificial tears without preservatives are sold in a pack with several small vials. They may be used up to every one hour as needed for discomfort. They last for approximately 15 minutes.

We recommend Refresh Classic Lubricant Eye Drops

Viscous gels are made for people with more severe forms of dry eye. These gels have a consistency similar to syrup, and may cause some blurry vision for 15 minutes or so. The benefit of using them is that the lubricating effect may last upwards of an hour or more.

We Recommend Refresh Celluvisc Lubricant Eye Gel

Artificial tears for meibomiand gland dysfunction – These artificial tears are made especially for people who are not producing the normal oil created by the meibomiand glands. This drops may help the tears last longer, lubricate the eyes more, and improve comfort. Please see the link below for recommended options.

We Recommend Refresh Optive Mega-3 Lubricant Eye Drops

Lubricating eye ointment – This is a thick savv which is placed between the eyelids and eye. It is typically used before sleep for patients who have severe dry eye, or who experience air from their CPAP blowing into their eyes at night. Ointment is very effective at lubricating the eyes, but will cause significant blurry vision, which may last hours. Many patients will also notice that it accumulates on the lashes and needs to be washed off in the morning.

We recommend Equate Nighttime Lubricant Eye Ointment Sensitive

Diet

The consumption of foods or supplements which are high in omega-3 increase the quality of the oil produced by the meibomian glands, and improves dry eye. Foods that are rich in Omega-3 include fish, flaxseeds, and walnuts.

There are high quality supplements, such as Pristine, which contain the ideal mixture of supplements required to optimize the tear film.

We recommend a diet high in omega 3s. It may also be helpful to supplement with TheraTears Omega 3 Supplement for Eye Nutrition

Maximize Your Results

Your eye care specialist will recommend the ideal combination of the above treatments to maximize your vision and eye comfort.

Most patients experience a significant improvement with resolution of their symptoms with continuous treatment.

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